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Federal forms, ICRs, and supporting documents

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Att 3p: HIV Testing Brief Survey Instrument

IC 225010 under ICR 202206-0920-015 · OMB 0920-1169.

Documents and Forms
Document Name
Document Type
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Information Collection (IC) Details

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Att 3p: HIV Testing Brief Survey Instrument 0920-21FV
 
Yes Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att 3p Brief Survey-HIV Testing_reinstatement_07-14-20.docx No   Fillable Fileable

Health Illness Prevention

 

213 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 213 0 0 0 0 213
Annual IC Time Burden (Hours) 53 0 0 0 0 53
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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